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BORANG QUOTATION TAKAFUL
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PLAN PILIHAN
Hibah takaful
Medikal kad sahaja
Penggantian gaji (Penyakit kritikal dan accident/ Penyakit kritikal sahaja/Accident Sahaja
Comprehensive Plan
Clear selection
Nama (Seperti didalam IC)
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Your answer
Tarikh Lahir
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MM
/
DD
/
YYYY
Email
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Your answer
No HP (Format xxx - xxxxxxx)
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Your answer
Pekerjaan
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Your answer
Nature of Business (Majikan)
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Merokok ?
Ya
Tidak
Pernah warded ?
Ya
Tidak
Anggaran gaji tahunan
Your answer
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